Baisden, Alexandria Grace

Baisden, Alexandria Grace is an individual health care provider with primary practice located at 130 George St Ste J , Beckley WV 25801-2648. She recently has only one registered license in Nursing Service Related Providers / Homemaker, which is considered as her primary health care specialty. Baisden, Alexandria Grace can be contacted via phone (304) 929-2670.

Contact Information

Primary practice address
130 George St Ste J Beckley WV 25801-2648
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Homemaker 376J00000X West Virginia

Profile Details

NPI number 1366044455
LBN Legal business name Baisden, Alexandria Grace
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 12th, 2020
Last updated Nov 12th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366044455 NPPES
West Virginia MEDICAID 00201403583

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